Provider Demographics
NPI:1417619016
Name:ZAENGLE, ANNALISE LAUREN (CRNP)
Entity type:Individual
Prefix:
First Name:ANNALISE
Middle Name:LAUREN
Last Name:ZAENGLE
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:3737 MARKET STREET
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19104-5501
Mailing Address - Country:US
Mailing Address - Phone:215-829-6700
Mailing Address - Fax:215-829-6645
Practice Address - Street 1:801 SPRUCE ST
Practice Address - Street 2:3RD FLOOR - SUITE 302
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19107-5701
Practice Address - Country:US
Practice Address - Phone:215-829-6700
Practice Address - Fax:215-829-6645
Is Sole Proprietor?:No
Enumeration Date:2021-10-11
Last Update Date:2025-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP024490363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health